The LPN/LVN is preparing to ambulate a postoperative client after cardiacÂÂ
surgery. The nurse plans to do which to enable the client to best tolerate theÂÂ
ambulation?
Premediate the client with an analgesic before ambulating.
A client is wearing a continuous cardiac monitor, which begins to alarm at theÂÂ
nurse's station. The nurse sees no electrocardiographic complexes on theÂÂ
screen. The nurse should do which first?
Check the client status and lead placement.
The LPN/LVN in a medical unit is caring for a client with heart failure. TheÂÂ
client suddenly develops extreme dyspnea, tachycardia, and lung crackles, andÂÂ
the nurse suspects pulmonary edema. The nurse immediately notifies theÂÂ
registered nurse and expects which interventions to be prescribed? Select allÂÂ
that apply.
1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
The nurse is monitoring a client following cardioversion. Which observationsÂÂ
should be of highest priority to the nurse?
Status of airway
The nurse is assisting in caring for the client immediately after insertion of aÂÂ
permanent demand pacemaker via the right subclavian vein. The nurseÂÂ
prevents dislodgement of the pacing catheter by implementing whichÂÂ
intervention?
Limiting movement and abduction of the right arm
A client diagnosed with thrombophlebitis 1 day ago suddenly complains ofÂÂ
chest pain and shortness of breath, and the client is visibly anxious. TheÂÂ
LPN/LVN understands that a life-threatening complication of this condition isÂÂ
which?
Pulmonary embolism
A 24-year-old man seeks medical attention for complaints of claudication in theÂÂ
arch of the foot. The nurse also notes superficial thrombophlebitis of the lowerÂÂ
leg. The nurse should check the client for which next?
Smoking history
The nurse has reinforced instructions to the client with Raynaud's diseaseÂÂ
about self-management of the disease process. The nurse determines that theÂÂ
client needs further teaching if the client states which?
"Moving to a warmer climate should help."
A client with myocardial infarction suddenly becomes tachycardic, shows signsÂÂ
of air hunger, and begins coughing frothy, pink-tinged sputum. The nurseÂÂ
listens to breath sounds, expecting to hear which breath sounds bilaterally?
Crackles
The LPN/LVN is collecting data on a client with a diagnosis of rightsided heart failure. The nurse should expect to note which specificÂÂ
characteristic of this condition?
Dependent edema